| Brian Lyngaas, Dds, Pllc | |
|
18518 Farmington Rd Livonia MI 48152-3232 | |
| (248) 473-0050 | |
| (248) 473-7490 |
| Full Name | Brian Lyngaas, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18518 Farmington Rd, Livonia, Michigan |
| Authorized Official Name and Position | Denise M Obrien (PRACTICE MANAGER) |
| Authorized Official Contact | 1313772539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Lyngaas, Dds, Pllc 18518 Farmington Rd Livonia MI 48152-3232 Ph: (248) 473-0050 | Brian Lyngaas, Dds, Pllc 18518 Farmington Rd Livonia MI 48152-3232 Ph: (248) 473-0050 |
| NPI Number | 1477153526 |
|---|---|
| Provider Enumeration Date | 10/28/2020 |
| Last Update Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477153526 | NPI | - | NPPES |
| 1275545626 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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